
<#include "header.ftl">
  <!-- 内容区域 -->
<div class="tpl-content-wrapper">

   <div class="container-fluid am-cf">
                <div class="row">
                    <div class="am-u-sm-12 am-u-md-12 am-u-lg-9">
                        
                    </div>
                    <div class="am-u-lg-3 tpl-index-settings-button">
                        <a href="#"><button type="button" class="page-header-button"><span class="am-icon-reply-all"></span> 返回</button></a>
                    </div>
                </div>
</div>
  <div class="row-content am-cf">
  
  

          <div class="row">

                    <div class="am-u-sm-12 am-u-md-12 am-u-lg-12">
                        <div class="widget am-cf">
                            <div class="widget-head am-cf">
                                <div class="widget-title am-fl">${survey.name}</div>
                                
                            </div>
                            <div class="widget-body am-fr">
								
								<div class="am-form-group">
                                    	  患者：${patient.name}  (${patient.SimpleNo()})
                                        
                                    </div>
                                    <div class="am-form-group">
                                    	  性别：${patient.gender} &nbsp;&nbsp;&nbsp;&nbsp; 年龄 ${patient.Age()}
                                    </div>
                                    <hr>
								
								   ERROR
                               
                            </div>
                        </div>
                    </div>
                </div>
        
         
        
            
   </div>
</div>        

<#include "footer.ftl">